DENTAL DREAMS LLC (NPI# 1417481714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417481714 |
| Entity Type | Organization |
| Organization Name | DENTAL DREAMS LLC |
| Practice Address |
41 State St Lynn MA 01901-1504 |
| Mailing Address |
41b State St. Lynn MA 01901 |
| Practice Telephone | 7815923200 |
| Mailing Telephone | 7815923200 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Authorized Official Name | TROY KLUCK (ENROLLMENT DIRECTOR) |
| Authorized Official Telephone | 7815923200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093249526 | Dental Dreams LLC | Dentist | 943 Grafton St, Worcester, MA 01604-2003 | 2017-04-11 |
| 1720524002 | Dental Dreams LLC | Dentist | 270 New State Hwy, #9a, Raynham, MA 02767-5458 | 2017-01-11 |
| 1508020439 | Dental Dreams LLC | Dentist | 45 Mariano South Bishop Blvd, Fall River, MA 02721 | 2008-07-10 |
| 1245407881 | Dental Dreams LLC | Dentist | 555 State St, Springfield, MA 01109-4101 | 2008-05-13 |
| 1083092670 | Dental Dreams LLC | Clinic/Center | 2034 N State Route 50, Bourbonnais, IL 60914-4410 | 2015-05-14 |
| 1205090925 | Dental Dreams LLC | Dentist | 68 Stafford St, Worcester, MA 01603-1450 | 2008-07-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | DENTAL DREAMS LLC | 698 Crescent St, Brockton, MA 02302 |
| Street Address |
41 STATE ST |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427541705 | Nicholas Andrew Vaillancourt | Dentist | 41 State St, Lynn, MA 01901-1504 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346874450 | Karina B.m. Nims | Dentist | 309 Maple St Unit 2, Lynn, MA 01904-3010 | 2020-02-27 |
| 1710430087 | Ana Keohane | Dentist | 319 Lynnway Ste 1, Lynn, MA 01901-1810 | 2016-08-03 |
| 1366890675 | Douglas Carl Chespak | Dentist | 41b State St, Lynn, MA 01901-1504 | 2016-05-26 |
| 1609116235 | Nora Dube D.m.d | Dentist | 895 Western Ave, Lynn, MA 01905-2359 | 2013-02-19 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| 1770755514 | Atlantic Dental | Dentist | 153 Lewis St, Lynn, MA 01902-4835 | 2008-04-01 |
| 1013102136 | Carl Albert Costanza Jr. | Dentist | 290 Ocean St, Lynn, MA 01902-3262 | 2007-09-11 |
| 1780896613 | Sonia Contanza Divney | Dentist | 232 Union St., Lynn, MA 01901 | 2007-05-04 |
| 1790900892 | Ilya Vasserman | Dentist | 153 Lewis Str, Lynn, MA 01902 | 2007-04-16 |
| 1740318377 | Alegre Dental Center | Dentist | 160 Market Street, Lynn, MA 01901-1529 | 2007-03-02 |
| Find all providers in LYNN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.